DR. NELLIE KIM-WEROHA D.D.S., M.S.
NPI 1780706275
Dentist - Orthodontics and Dentofacial Orthopedics in Rochester, MN

Active since April 04, 2007PECOS Enrolled
1705 BROADWAY AVE S, ROCHESTER, MN 55904(507) 288-4427(507) 288-8497 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 20, 2023, May 27, 2021 (2 updates tracked since 2021).

About Dr. Nellie Kim-weroha D.d.s., M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NELLIE KIM-WEROHA D.D.S., M.S. (NPI 1780706275) is an individual orthodontics and dentofacial orthopedics provider in Rochester, Minnesota, licensed in Minnesota (D12483) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1780706275
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. NELLIE KIM-WEROHACredential: D.D.S., M.S.
Location Address1705 BROADWAY AVE SRochester, MN 55904
Mailing Address1705 Broadway Ave SRochester, MN 55904 · (507) 288-4427 · Fax (507) 288-8497
Fax(507) 288-8497
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1780706275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses✔ Licensed in MN · D12483✔ Licensed in MO · 2004013591
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D12483 (MN)
1705 BROADWAY AVE S, Rochester, MN 55904

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nellie Kim-weroha D.d.s., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1705 BROADWAY AVE S
ROCHESTER, MN 55904
Dentist (Pediatric Dentistry)
1705 BROADWAY AVE S
ROCHESTER, MN 55904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nellie Kim-weroha's NPI number?

The NPI number for Nellie Kim-weroha is 1780706275. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Nellie Kim-weroha located?

Nellie Kim-weroha practices at 1705 Broadway Ave S, Rochester, MN 55904. The listed phone number is (507) 288-4427.

What is Nellie Kim-weroha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Nellie Kim-weroha enrolled in Medicare?

Yes. Nellie Kim-weroha is registered in the Medicare PECOS enrollment system.

What insurance does Nellie Kim-weroha accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list Nellie Kim-weroha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nellie Kim-weroha was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.